Encephaloceles have been traditionally treated by a transcranial or externa
l approach. The advent of endoscopic sinus surgery has allowed a new intran
asal approach for the treatment of basal encephaloceles, minimising patient
morbidity. We discuss the classification and presentation of encephalocele
s, and present our experience in the repair of six cases. We believe transn
asal endoscopic repair is the method of choice in dealing with selected bas
al encephaloceles.